| NPI | 1821372236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN111915) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: GA RN111915) |
| 363L00000X Nurse Practitioner (Licence: TN 34869) | |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2023-11-01 |